Business and Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2011

Business and Summary of Significant Accounting Policies [Abstract]

Operating revenue, net of contractual allowances and discounts (but before the provision for bad debts),

Operating revenues, net of contractual allowances and discounts (but before the provision for bad debts), recognized during the years ended December 31, 2011, 2010 and 2009, is as follows (in thousands):

	Year Ended December 31,
	2011		2010		2009
Medicare	$	3,654,247	$	3,464,117	$	3,212,424
Medicaid		1,318,756		1,345,315		1,146,033
Managed Care and other third-party payors		7,014,519		6,359,322		6,071,023
Self-pay		1,638,646		1,454,520		1,312,974
Total	$	13,626,168	$	12,623,274	$	11,742,454

Accumulated Other Comprehensive Income (Loss)

	Change in Fair Value of Interest Rate Swaps			Change in Fair Value of Available for Sale Securities			Change in Unrecognized Pension Cost Components			Accumulated Other Comprehensive Income (Loss)
Balance as of December 31, 2009	$	(202,260	)	$	(1,180	)	$	(17,945	)	$	(221,385	)
2010 Activity, net of tax		(15,676	)		3,716			2,418			(9,542	)
Balance as of December 31, 2010		(217,936	)		2,536			(15,527	)		(230,927	)
2011 Activity, net of tax		55,145			(960	)		(7,737	)		46,448
Balance as of December 31, 2011	$	(162,791	)	$	1,576		$	(23,264	)	$	(184,479	)